Organization Name: | HORIZON HOSPICE LLC |
NPI Number: | 1043690746 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK LAMAR ERCANBRACK (OWNER) |
Mailing Address: | 175 Lake Park Rd Lewisville |
State: | TX US |
Postal Code: | 750572303 |
Phone Number: | 9727681531 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2015 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |